Healthcare Provider Details

I. General information

NPI: 1346136264
Provider Name (Legal Business Name): YOSHITA TAYLOR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2025
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2309 W CONE BLVD STE 220-C
GREENSBORO NC
27408-4044
US

IV. Provider business mailing address

701 GREEN VALLEY RD STE 100
GREENSBORO NC
27408-7096
US

V. Phone/Fax

Practice location:
  • Phone: 855-937-2278
  • Fax:
Mailing address:
  • Phone: 855-937-2278
  • Fax: 336-609-7117

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code247200000X
TaxonomyOther Technician
License Number26-PAR08
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number1346136264
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number34D2324112
License Number StateNC
# 4
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number9766189996YT
License Number StateNC
# 5
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateNC
# 6
Primary TaxonomyN
Taxonomy Code247ZC0005X
TaxonomyClinical Laboratory Director (Non-physician)
License Number34D2324112
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: